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1457833204
JACLYN RACHELLE RICE
COON RAPIDS, MN
NPI
1457833204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-29
Last Update Date
2019-07-22
Business Address
JACLYN RACHELLE RICE
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 763-767-3350
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Mailing Address
JACLYN RACHELLE RICE
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
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